ANSWER 💡PTH can increase as early as days after an AKI. A 1978 study performed serial measurements of PTH in patients with AKI. They found that PTH was elevated within days of injury and returned to normal when renal function recovered. https://buff.ly/3YKpgxx

Wrote a blog about it www.nephjc.com/news/2024/10... I think MRAs in CKD are tricky to use. You need a tight protocol - not a loosey-goosey pragmatic trial I still remain a Spiro-stan, but the onus is on us to provide the good data

Thx